Aleksandr Dekhtyar Md Sc

LBN: Aleksandr Dekhtyar Md Sc
Aleksandr Dekhtyar Md Sc is an health care organization with primary practice located at 614 Martin Ln , Deerfield IL 60015-3633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Aleksandr Dekhtyar Md Sc can be contacted via phone (224) 805-6085, or through Dekhtyar, Aleksandr via phone (224) 805-6085.

Contact Information

Primary practice address
614 Martin Ln Deerfield IL 60015-3633
Phone: (224) 805-6085
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dekhtyar, Aleksandr Doctor of Medicine (MD)
Phone: (224) 805-6085

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036110249 Illinois

Profile Details

NPI number 1801091582
LBN Legal business name Aleksandr Dekhtyar Md Sc
DBA Doing business as
Authorized official Dekhtyar, Aleksandr Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Oct 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801091582 NPPES
Illinois MEDICAID 036110249

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